# SUBURBAN MULTISPECIALTY LIMITED, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700976404
- **Authorized official:** DR. ANDREW SCOTT KIRSCHNER D.O. (PRESIDENT/OWNER)
- **Authorized official phone:** (610) 667-4080

## Contact information

- **Practice address:** 1 BELMONT AVE, SUITE 416, BALA CYNWYD, PA 19004-1617
- **Practice address phone:** (610) 667-4080
- **Practice address fax:** (610) 667-2748
- **Mailing address:** 1 BELMONT AVE, SUITE 416, BALA CYNWYD, PA 19004-1617
- **Mailing address phone:** (610) 667-4080
- **Mailing address fax:** (610) 667-2748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 07/31/2014